Abigail Maylissa Hamilton
Nurse Practitioner, Family in Chicago, IL. Organization (NPI-2).
NPI number1922870872
StatusActive
Last updated in NPPESNov 8, 2023
Details
- NPI
- 1922870872
- Entity type
- Organization (NPI-2)
- Legal business name
- Abigail Maylissa Hamilton
- Organization subpart
- No
- Enumeration date
- Oct 24, 2023
- Certification date
- Nov 8, 2023
- Last updated
- Nov 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
2259 W Taylor StChicago, IL 60612-4233
Phone 312-285-2982 · Fax 844-835-7034
Mailing address
2259 W Taylor StChicago, IL 60612-4233
Phone 312-285-2982 · Fax 844-835-7034
Authorized official
Abigail M Hamilton
Owner
3122852982
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